Active NPI
Ryan Cohen, PHARMD
- Pharmacist
- Mesa, AZ
National Provider Identifier
1801404009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S024623
- Practice address
- 9152 E Brown Rd
Mesa, AZ 85207-4339 - Phone
- (480) 357-4833
- Fax
- (480) 357-4894
- NPI assigned
- Jul 14, 2020
- Last updated
- Jul 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S024623 | AZ | Primary |
Addresses
Primary practice location
9152 E Brown Rd
Mesa, AZ 85207-4339
Mailing address
9152 E Brown Rd
Mesa, AZ 85207-4339
Phone (480) 357-4833
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CVS | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S024623 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Clinical Pharmacy LLC | Current | Accepting new patients | |
| German Dobson CVS LLC | Past | Accepting new patients | |
| German Dobson CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Mesa, AZ
- NPI 1801592555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1801404009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9152 E BROWN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852074339",
"telephone_number": "480-357-4833",
"fax_number": "480-357-4894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9152 E BROWN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852074339",
"telephone_number": "480-357-4833",
"fax_number": "480-357-4894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024623",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CVS",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9152 E Brown Rd",
"city": "Mesa",
"state": "AZ",
"country_code": "US",
"postal_code": "852074339",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.